Individual
CONSUELO MENDOZA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1301 ROUTE 70, BRICK, NJ 08724-2670
(732) 892-8700
(732) 892-6689
Mailing address
1301 ROUTE 70, BRICK, NJ 08724-2670
(732) 892-8700
(732) 892-6689
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25MA03001200
NJ
Other
Enumeration date
01/20/2006
Last updated
07/08/2007
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